Author Of 1 Presentation
GROWTH PATTERN OF PRETERM INFANT PRE AND POST PATENT DUCTUS ARTERIOSUS (PDA) LIGATION.
Abstract
Background
Large Patent Ductus Arteriosus (PDA) can cause significant haemodynamic problems to preterm infants. It can increase burden on pulmonary circulation which in turn increases work of breathing, leading to increased calorie consumption. Poor nutrition can lead to poor neurodevelopmental outcome and increases the risk of CLD.
Objectives
To review the PDA ligation in preterm infants and its link to the weight gain.
Methods
Retrospective observational study over a period of 10 years from Jan 2019 to Dec 2018. Data was collected from Badger database (Neonatal patient record database). Data on gestational age, birth weight, PDA ligation weight, discharge weight and oxygen requirement at 36 weeks were collected among the infants who required PDA ligation.
Results
18 preterm infants needed surgical PDA ligation during study period. The mean gestation at birth was 25 weeks. Mean birth weight was 650 grams. Mean gestational age for PDA ligation was 32 weeks with mean weight of 1060 grams. The mean discharge gestational age was 47.5 weeks with mean weight of 3230 grams.100% of the babies had a diagnosis of chronic lung disease at 36 weeks and 83% went home on oxygen. The mean growth rate before duct ligation 54.3 grams/week which increased to 167.3 grams/week after ligation.
Conclusion
The results show PDA ligation hasn’t had noticeable effect on babies as 100% were diagnosed were diagnosed with CLD at 36 weeks corrected gestational age with the majority discharge home on oxygen. However, growth rates have markedly increased. Babies with large PDA need more calorie requirement to have optimal growth.
Presenter of 1 Presentation
GROWTH PATTERN OF PRETERM INFANT PRE AND POST PATENT DUCTUS ARTERIOSUS (PDA) LIGATION.
Abstract
Background
Large Patent Ductus Arteriosus (PDA) can cause significant haemodynamic problems to preterm infants. It can increase burden on pulmonary circulation which in turn increases work of breathing, leading to increased calorie consumption. Poor nutrition can lead to poor neurodevelopmental outcome and increases the risk of CLD.
Objectives
To review the PDA ligation in preterm infants and its link to the weight gain.
Methods
Retrospective observational study over a period of 10 years from Jan 2019 to Dec 2018. Data was collected from Badger database (Neonatal patient record database). Data on gestational age, birth weight, PDA ligation weight, discharge weight and oxygen requirement at 36 weeks were collected among the infants who required PDA ligation.
Results
18 preterm infants needed surgical PDA ligation during study period. The mean gestation at birth was 25 weeks. Mean birth weight was 650 grams. Mean gestational age for PDA ligation was 32 weeks with mean weight of 1060 grams. The mean discharge gestational age was 47.5 weeks with mean weight of 3230 grams.100% of the babies had a diagnosis of chronic lung disease at 36 weeks and 83% went home on oxygen. The mean growth rate before duct ligation 54.3 grams/week which increased to 167.3 grams/week after ligation.
Conclusion
The results show PDA ligation hasn’t had noticeable effect on babies as 100% were diagnosed were diagnosed with CLD at 36 weeks corrected gestational age with the majority discharge home on oxygen. However, growth rates have markedly increased. Babies with large PDA need more calorie requirement to have optimal growth.